NPIMap

Individual provider Active NPI

David Richard Blick, MD

  • Cardiovascular Disease Physician
  • Blue Springs, MO
National Provider Identifier
1699729202
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0422598 Issued in KS
Practice address
203 NW Rd Mize Rd
Ste 200
Blue Springs, MO 64014
Phone
(816) 220-1117
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R4J65 MO
Interventional Cardiology Physician 207RI0011X R4J65 MO
Interventional Cardiology Physician 207RI0011X 0422598 KS
Cardiovascular Disease Physician 207RC0000X 0422598 KS Primary

Addresses

Primary practice location

203 NW Rd Mize Rd
Ste 200
Blue Springs, MO 64014

Mailing address

203 NW Rd Mize Rd Ste 200
Blue Springs, MO 64014
Phone (816) 220-1117

Other practice location 1

3200 NE Ralph Powell Rd
Lees Summit, MO 64064-2301
Phone (816) 525-1600

Other identifiers 9

IdentifierTypeStateIssuer
0005658218OtherAETNA
15073018OtherBLUE SHIELD OF KC HMO
0005658218OtherAETNA PPO
060014116OtherMEDICARE RAILROAD
0005658218OtherAETNA HMO
15073018OtherPHP FREEDOM
15073018OtherBLUE SHIELD OF KC PPO
1699729202MedicaidMO
431092652 A022OtherCHAMPUS TRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100331000933 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6608788161 Reassigns benefits to 1 organization
I20240921000107 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 6608788161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

Practice addresses (Care Compare)

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 625-4699

Hospital & facility affiliations

  • Hays Medical Center Hospital, Hays, KS, CCN 170013
  • University of KS HLTH System Great Bend Campus Hospital, Great Bend, KS, CCN 170191
  • Clara Barton Hospital Hospital, Hoisington, KS, CCN 171333
  • Citizens Medical Center Hospital, Colby, KS, CCN 171362
  • Russell Regional Hospital Hospital, Russell, KS, CCN 171350

Merit-based Incentive Payment System (MIPS)

Final score
85.72 of 100Reported as apm
Quality
68.82
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.35 of 100Reported as group
Quality
61.06
Promoting interoperability
99
Improvement activities
40
Cost
74.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0422598KSMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc CurrentSince Sep 1, 2024 Accepting new patients
Hays Medical Center, Inc. Interventional Cardiology Current Accepting new patients
Hays Medical Center, Inc. Cardiovascular Disease CurrentSince Sep 1, 2024 Accepting new patients
Prime Healthcare Kansas City - Physician Services LLC Cardiovascular Disease CurrentSince Mar 1, 2015 Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients
Prime Healthcare Physician Services - Providence Inc Cardiovascular Disease Past Accepting new patients
Prime Healthcare Physician Services - Providence Inc PastSince Sep 20, 2020 Accepting new patients

Locations

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

203 W Road Mize Rd
Ste 200
Blue Springs, MO 64014
Phone (816) 220-1117

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

7201 E 147th St
Grandview, MO 64030
Phone (816) 348-2260

1000 Carondelet Dr
Ofc
Kansas City, MO 64114
Phone (816) 943-7604

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

3200 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 525-1600

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1699729202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 NW RD MIZE RD STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64014",
            "telephone_number": "816-220-1117",
            "fax_number": "816-228-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NW RD MIZE RD",
            "address_2": "STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64014",
            "telephone_number": "816-220-1117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 NE Ralph Powell Rd",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640642301",
            "country_code": "US",
            "telephone_number": "816-525-1600",
            "fax_number": "816-525-1643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLICK",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R4J65",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "R4J65",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KS",
            "license": "0422598",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0422598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005658218",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF KC HMO",
            "identifier": "15073018",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "0005658218",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "060014116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0005658218",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP FREEDOM",
            "identifier": "15073018",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF KC PPO",
            "identifier": "15073018",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699729202",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS TRICARE",
            "identifier": "431092652 A022",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.